Nailed It Ortho

In this episode, we’re joined by Dr. Kassam to explore the origins and evolution of Reverse Shoulder Arthroplasty (RSA), from its early rationale in treating RTC arthropathy to the groundbreaking Grammont design. We discuss the core components of RSA, the critical role of center of rotation (COR), glenoid and humeral lateralization, and their impact on biomechanics. We also talk about surgical considerations like scapular notching prevention, baseplate positioning, inlay vs onlay humeral stems, and the significance of neck-shaft angles. Dr. Hafiz Kassam is a board-certified orthopedic surgeon specializing in shoulder reconstruction. He serves as HOI’s medical director of shoulder reconstruction. Dr. Kassam has extensive experience in complex shoulder and elbow reconstruction and sports injuries. Dr. Kassam pursued his education and training at world-class institutions in three countries. After completing his undergraduate work and medical training in the United Kingdom, he completed his residency at the University of Toronto, which is one of the largest and most academically productive programs in North America. He then moved to the USA and completed his shoulder and elbow fellowship training at Yale University. He is an expert in minimally invasive techniques in shoulder and elbow joint replacement as well as advanced arthroscopy, traumatic reconstruction and non-operative treatments. He has performed more than 1,000 shoulder replacements and arthroscopic reconstructions in his career so far. Believing in evidence-based choices for his patients and improving outcomes in modern orthopedics, Dr. Kassam is a well-published clinician-scientist. He has authored numerous original scientific research studies, technique guides, and textbook chapters, presenting his work on both the national and international stages. He is the program chair for the Northern California Shoulder and Elbow Course and sits on the Editorial Board for the Journal of Shoulder and Elbow Arthroplasty. Goal of episode: To develop a baseline knowledge of RSA design. In this episode, we provide answers to questions you may have on reserve shoulder arthroplasty, like: What was the original reason for RSA? What are the basic components of an RSA?  What is the importance of COR with regard to RSA? What is glenoid lateralization, and of what importance is it? Does it matter where you get your lateralization from? Is inferior placement of the baseplate on the glenoid a good thing to do? And much more!

Sign up for early access to our upcoming finance course here>>> https://autumn-sky-2941.kit.com/0f2b011d3c  Are student loans really good debt? Should you pay them off fast or play the long game?  In this episode, we have the pleasure of hosting student loan professional Emma Crawford, as we explore repayment philosophies, PSLF essentials, common pitfalls, and the best strategies for physicians, whether you're in academia, hospital-based, or private practice. Whether you're just out of med school or deep into repayment, this episode includes practical insights to help you make smarter financial moves. After graduating with her master’s degree in Counseling Psychology from the University of Minnesota in 2016, Emma was saddled with student loan debt. She felt overwhelmed and confused by the intricacies of the different repayment plans and Public Service Loan Forgiveness (PSLF) program but didn’t know who to contact or who to trust for help and support. Knowing there had to be a better way, she dedicated her time and efforts toward becoming a financial planner to help others feel less alone as they navigate the complex world of federal student loan debt. As a CERTIFIED FINANCIAL PLANNER™ professional, Certified Student Loan Professional®, and founder of October Loan Strategies, she creates fully customized student loan plans with concrete, step-by-step instructions to help clients minimize payments and maximize forgiveness. So far, she has consulted on over $100 million in student loan debt and helped clients receive $10 million in student loan forgiveness - and has won a few awards along the way! In this episode, we share strategies for cracking the code on student loans as we answer questions like; What are some different philosophies regarding paying back student loans? Do we pay them off rapidly, or play the long game? What are some common student loan management strategies that are used for physicians in academic jobs? Hospital based? Private practice? Should you consolidate your loans into one? And more!

The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Dr. Samuel Fuller, a resident at University at Buffalo, Dr. Alexander Macfarlane, a current shoulder & Elbow fellow, Teja Polisetty, a resident at Harvard University, Matthew Corsi, a 4th year medical student at Wayne State University School of Medicine, and Jalen Warren, a 4th year medical student at Ohio University College of Health Sciences. They discuss the Ream & Run procedure. Enjoy!   Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com    This episode is sponsored by OrthopedicMarketing.net. If you're an orthopedic surgeon or clinic owner looking to grow your practice, OrthopedicMarketing.net is made for you. Their team specializes in helping orthos attract more of the right patients with proven digital strategies like Google Ads, SEO, and social media content that actually works in healthcare. What sets them apart is accountability. While they help you generate more calls, their AI also helps you convert more of them into patients. For a limited time, mention the Nailed It Ortho Podcast and they will build you a $5,000 custom website for free when you sign up. Visit OrthopedicMarketing.net to learn more.

Link to articles to read more: https://pubmed.ncbi.nlm.nih.gov/16510816/ https://pubmed.ncbi.nlm.nih.gov/25543185/  Original Episode for a deeper dive: https://naileditortho.com/lisfrancintro/ Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com    This episode is sponsored by OrthopedicMarketing.net. If you're an orthopedic surgeon or clinic owner looking to grow your practice, OrthopedicMarketing.net is made for you. Their team specializes in helping orthos attract more of the right patients with proven digital strategies like Google Ads, SEO, and social media content that actually works in healthcare. What sets them apart is accountability. While they help you generate more calls, their AI also helps you convert more of them into patients. For a limited time, mention the Nailed It Ortho Podcast and they will build you a $5,000 custom website for free when you sign up. Visit OrthopedicMarketing.net to learn more.

We host Dr. Matteini on this episode, as we examine the causes, symptoms, and treatment options for cervical radiculopathy. Learn about the anatomy of the spine, the latest diagnostic techniques, and the best non-surgical and surgical approaches to managing this condition. Listen for expert insights on how to relieve that radiating neck pain! A board-certified and fellowship-trained spine surgeon and partner at Fox Valley Orthopedics in Geneva, IL a suburb of Chicago, Dr. Lauren Matteini specializes in the care and treatment of the whole spine – cervical, thoracic, and lumbar areas. Dr. Matteini treats conditions such as nerve impingement, disc herniation, and stenosis alongside more complex procedures to treat deformity, scoliosis, or spine issues requiring revision. Degenerative disc conditions are common in her practice, stemming from both injuries and age-related deterioration. Dr. Matteini graduated from Georgetown University, Washington, DC, and proceeded to Georgetown University School of Medicine, Washington, DC, for her M.D. After medical school, Dr. Matteini completed her residency in Orthopaedic Surgery at George Washington University Medical Center, Washington, DC, followed by a Spine fellowship at University of Virginia, Charlottesville, VA. Goal of episode: To develop a baseline knowledge of cervical radiculopathy. In this episode, we cover: Difference between radiculopathy, myelopathy, and myeloradiculopathy. Some causes of cervical radiculopathy. The anatomy of the spinal cord/nerve roots and their corresponding vertebrae. The typical non-op treatment for cervical radiculopathy. And many more. This episode is sponsored by OrthopedicMarketing.net. If you're an orthopedic surgeon or clinic owner looking to grow your practice, OrthopedicMarketing.net is made for you. Their team specializes in helping orthos attract more of the right patients with proven digital strategies like Google Ads, SEO, and social media content that actually works in healthcare. What sets them apart is accountability. While they help you generate more calls, their AI also helps you convert more of them into patients. For a limited time, mention the Nailed It Ortho Podcast and they will build you a $5,000 custom website for free when you sign up. Visit OrthopedicMarketing.net to learn more.

Link to articles to read more: https://pubmed.ncbi.nlm.nih.gov/24603824/ https://pubmed.ncbi.nlm.nih.gov/34216784/  Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com  This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They’ve been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.

Sign up for early access to our upcoming finance course here>>> https://autumn-sky-2941.kit.com/0f2b011d3c  We host Michael Johnson in this episode as we discuss physician contracts and break down key elements every physician should know. From analyzing deals and understanding compensation models to navigating noncompete clauses and malpractice insurance, we cover it all! Michael Johnson graduated from Tulane Law School in 2014 and founded Michael Johnson Legal (MJL) in 2019 after practicing in business, insurance, and construction litigation. He founded MJL due to his passion for physicians. He believed they are underrepresented and untrained on the legal and business side of medicine, and felt that it was a worthy career pursuit to change this balance of power. His superpower is simplifying complexity into actionable advice. One legal myth he loves to debunk for clients is the myth that all physicians need to work a full throttle 1.0 FTE to succeed in their careers. He believes that for some physicians, this may be the ideal; however, for others, working something less than a 1.0 FTE may, in fact, protect the physician from moral injury and burnout, leading the physician to take better care of themself and prolong their career in medicine, ultimately benefiting more patients in the long run. Michael Johnson graduated with a B.S. from Auburn Montgomery in 2010 and served as captain of the tennis team. He also competed in the entry levels of professional tennis, junior Wimbledon, and for Team USA’s Junior Davis Cup squad. In his spare time, he enjoys playing tennis, platform tennis, golf, and spending time with his wife and kids.  In this episode, we answer questions which you might have on navigating and negotiating contracts like a pro like; How should physicians analyze and negotiate their contracts? What’s the difference between academic, hospital, and private practice deals? Compensation: What’s included and what should you be aware of? Noncompetes, exit strategies, and termination rights: What’s negotiable? Are tail insurance and moonlighting opportunities really negotiable? Signing bonuses: What’s the catch? And much more! For listeners in medical school, residency, or fellowship, Michael's team would love the opportunity to do a free virtual didactics training on physician contracts for your program. Feel free to contact the team at contact@michaeljohnsonlegal.com Instagram: https://www.instagram.com/physiciancontracts/?hl=en  This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They’ve been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.  

Link to articles to read more: https://pubmed.ncbi.nlm.nih.gov/32491641/ https://pubmed.ncbi.nlm.nih.gov/21885701/  Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com  This episode is sponsored by St John Associates. St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners. They’ve been around for over 33 years, matched thousands of physicians with healthcare employers across the country, and their services are completely free to job seeking physicians. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 18 years of experience and hundreds of matches in all ortho subspecialties. Visit them at StJohnJobs.com/Ortho to get started with your completely free orthopedic job search today. Following that link will let them know that you found them through us.

In this episode, we’re joined by Dr. Mora to discuss Pectoralis Major Tendon Tears — a serious but increasingly common injury in muscular males aged 20-40, especially those who bench press or use anabolic steroids. Dr. Mora is a native of Orange County. He graduated from Anaheim High School in Orange County CA, and went on to complete his training at UC Irvine where he earned top of his class honors with his induction into the Alpha Omega Alpha Medical Society honors. From there, he completed his Orthopedic Surgery training at USC, followed by the completion of a Sports Medicine, Cartilage, Shoulder, and Knee Fellowship at Santa Monica Orthopedic and Sports Medical Group.  He is currently practicing Orthopedic Surgery in Orange County, California.  Dr. Mora’s practice focuses on sports related trauma, knee ligament and cartilage repair, shoulder rotator cuff and instability, hip arthroscopy and partial knee replacement and ACL reconstruction. He sees athletes of all levels including professional soccer and UFC/MMA. He is team doctor for the Anaheim Bolts pro indoor soccer team and Foothill High School. Some of the procedures he performs include Cartilage transplantation (Genzyme), partial custom knee replacement, OATS, tibial osteotomies, meniscus transplant, knee ligament reconstruction, shoulder reconstruction, elbow arthroscopy, hip arthroscopy, platelet rich plasma and adult stem cell injections. Dr. Mora’s family heritage is Peruvian. He speaks fluent Spanish. Goal of episode: To develop a baseline knowledge of pectoralis major tendon tears. In this episode, we cover: Common patient populations & injury mechanisms Detailed pec anatomy breakdown What to look for during H&P (yes, that loss of pec contour!) Imaging essentials—why MRI is your best friend When non-op treatment makes sense (and when it really doesn’t) Surgical tips for acute vs. chronic tears + allograft considerations Post-op protocol that gets your patients back to function safely This episode is sponsored by Arthrex: Do you ever find yourself explaining the same orthopedic conditions over and over to your patients? Save time and enhance patient understanding with OrthoPedia Patient. This incredible website offers a comprehensive library of videos on everything from shoulder arthritis to ACL tears, all in patient-friendly language. Each condition is covered in a series of videos that includes an overview, treatment options, a surgical animation, and more. Plus, it's regularly updated to reflect the latest research. Educate, engage, and empower your patients. Visit Patient.OrthoPedia.com today. OrthoPedia Patient—Educate, Engage, Empower.

Enjoy this episode, centered around a missed elbow injury. This series was made for us to learn and improve from hearing mistakes that have happened in orthopaedic surgery. If you have a story that you would like to share, email us at naileditortho@gmail.com .   Link to article mentioned in this episode: https://pmc.ncbi.nlm.nih.gov/articles/PMC8167284/  https://pmc.ncbi.nlm.nih.gov/articles/PMC9729971/    Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com    This episode is sponsored by Arthrex: Do you ever find yourself explaining the same orthopedic conditions over and over to your patients? Save time and enhance patient understanding with OrthoPedia Patient. This incredible website offers a comprehensive library of videos on everything from shoulder arthritis to ACL tears, all in patient-friendly language. Each condition is covered in a series of videos that includes an overview, treatment options, a surgical animation, and more. Plus, it's regularly updated to reflect the latest research. Educate, engage, and empower your patients. Visit Patient.OrthoPedia.com today. OrthoPedia Patient—Educate, Engage, Empower.